| Gary F Koloff Md Pc | |
|
28423 Orchard Lake Rd Ste 212 Farmington Hills MI 48334-2971 | |
| (248) 553-2434 | |
| (734) 240-8557 |
| Full Name | Gary F Koloff Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28423 Orchard Lake Rd Ste 212, Farmington Hills, Michigan |
| Authorized Official Name and Position | Gary F Koloff (MD) |
| Authorized Official Contact | 2485532434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary F Koloff Md Pc 28423 Orchard Lake Rd Ste 212 Farmington Hills MI 48334-2971 Ph: (248) 553-2434 | Gary F Koloff Md Pc 28423 Orchard Lake Rd Ste 212 Farmington Hills MI 48334-2971 Ph: (248) 553-2434 |
| NPI Number | 1578866620 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Medicare PECOS PAC ID | 8426233156 |
|---|---|
| Medicare Enrollment ID | O20110425000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578866620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | GK048556 (Michigan) | Primary |
| Provider Name | Gary F Koloff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477539708 PECOS PAC ID: 7315122058 Enrollment ID: I20110425000178 |
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